A pregnant woman has tested positive for HIV. What indicates that she needs further counseling?

Prepare for the NCLEX exam. Use multiple choice questions and flashcards to optimize your study for the Antepartum and Intrapartum sections. Each question provides hints and explanations. Get exam-ready today!

The statement, "Breast-feeding after delivery is best for my baby," indicates a need for further counseling because it reflects a misunderstanding of the implications of HIV transmission through breast milk. While breastfeeding is often recommended for many mothers for its benefits, it's important for a mother living with HIV to understand that the virus can be transmitted to the infant during breastfeeding. Current guidelines typically recommend that HIV-positive mothers should avoid breastfeeding unless they are on effective antiretroviral therapy and have an undetectable viral load.

In contrast, the other statements demonstrate a good understanding of the situation. The commitment to taking medications indicates acknowledgment of the importance of managing the condition, while recognizing the possibility of a safe delivery and protecting the baby shows awareness of the preventive measures that can be taken during labor and delivery to reduce transmission risk. Thus, the correct response highlights a critical area where additional education and counseling are necessary to ensure the mother makes informed health decisions for herself and her baby.

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